ALLCHAPTERS INCLUDED
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,Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
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MULTIPLE CHOICE YFT L
1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. L
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What does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision L
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b. Comprehensive prenatal care FT
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c. Attendance at all deliveries L
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d. Cesarean sections L
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The CNM provides comprehensive prenatal and
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postnatal care, attends uncomplicated deliveries, and
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ensures that a backup physician is available in case of
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unforeseen problems.
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Y F T L Y FT L YFT L L
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Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of
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a. Karl Credé L
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b. Ignaz Semmelweis YFTL
c. Louis Pasteur L
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d. Joseph Lister YFT L
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Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and
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transmitted by the unwashed hands of physicians and medical students.
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TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments
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to the nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.”
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What is the best nursing response reflecting cultural sensitivity?
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a. “Maternal mortality in the United States is extremely low.” YFT L L
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b. “Anesthesia is available to relieve pain during labor and childbirth.” FT
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c. “Tell me why you are afraid of childbirth.” L
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d. “Your condition will be monitored during labor and delivery.” L
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Asking the patient about her concerns helps promote understanding and L
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individualizes patient care.
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Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation L
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,4. An urban area has been reported to have a high perinatal mortality rate. What
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information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year L
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year L
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c. Deaths of infants up to 1 year of age per 1000 live births per year L
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d. Fetal and neonatal deaths per 1000 live births per year YFT L YFT L L
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The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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1.6 OBJ: 9 YF TL TOP: The Present-Child Care Y F T L L
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women YFT L YFT L L
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b. The traditional family unit L
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c. Separation of labor rooms from delivery rooms YFT L YFT L L
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d. A quality family experience for each patient
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Current maternity practice focuses on a high-quality family experience for all L
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families, traditional or otherwise.
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TOP: The Present-Maternity Care KEY: Nursing Process Step:
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N/A MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Children‘s Bureau?
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a. Lillian Wald L
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b. Florence Nightingale L
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c. Florence Kelly L
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d. Clara Barton L
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Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
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2 TOP:
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Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Children‘s Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists. YFT L YFT L YFT L L
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b. The Child Abuse and Prevention Act was passed. L
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c. Hot lunch programs were established in many schools. YFT L YFT L YFT L L
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d. Children‘s asylums were founded. L
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School hot lunch programs were developed as a result of research by the Children‘s
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Bureau on the effects of economic depression on children.
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational
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exposure of preschool children?
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a. WIC
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c. The Children‘s Charter L
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d. Head Start YF
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Head Start programs were established to increase educational exposure of preschool
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children.
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process
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Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and
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Development
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9. What guidelines define multidisciplinary patient care in terms of expected
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outcome and timeframe from different areas of care provision?
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a. Clinical pathways L
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Clinical pathways, also known as critical pathways or care maps, are collaborative L
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guidelines that define patient care across disciplines. Expected progress within a
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specified timeline is identified.
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TOP: Health Care Delivery Systems KEY: Nursing Process
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Step: N/A MSC: NCLEX: Safe, Effective Care Environment:
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Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed
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her mother, and collected admission data. What is the next step the student will
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take to develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. L
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b. Choose specific nursing interventions for the child. YFT L L
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c. Determine appropriate nursing diagnoses. YL
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d. State nursing actions related to the child‘s medical diagnosis. L
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The nurse uses assessment data to select appropriate nursing diagnoses.
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Outcomes and interventions are then developed to address the relevant
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nursing diagnoses.
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Nursing Diagnosis MSC: NCLEX: Safe, Effective Care Environment:
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Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the
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definition of the LVN/LPN scope of practice. What resource can the nurse suggest
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to the student?
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a. American Nurses Association L
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,Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
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MULTIPLE CHOICE YFT L
1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. L
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What does the CNM‘s scope of practice include?
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a. Practice independent from medical supervision L
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b. Comprehensive prenatal care FT
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c. Attendance at all deliveries L
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d. Cesarean sections L
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The CNM provides comprehensive prenatal and
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postnatal care, attends uncomplicated deliveries, and
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ensures that a backup physician is available in case of
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unforeseen problems.
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Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of
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a. Karl Credé L
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b. Ignaz Semmelweis YFTL
c. Louis Pasteur L
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Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and
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transmitted by the unwashed hands of physicians and medical students.
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments
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to the nurse, “I am afraid of childbirth. It is so dangerous. I am afraid I will die.”
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What is the best nursing response reflecting cultural sensitivity?
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a. “Maternal mortality in the United States is extremely low.” YFT L L
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b. “Anesthesia is available to relieve pain during labor and childbirth.” FT
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c. “Tell me why you are afraid of childbirth.” L
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d. “Your condition will be monitored during labor and delivery.” L
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individualizes patient care.
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Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation L
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,4. An urban area has been reported to have a high perinatal mortality rate. What
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information does this provide?
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a. Maternal and infant deaths per 100,000 live births per year L
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b. Deaths of fetuses weighing more than 500 g per 10,000 births per year L
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c. Deaths of infants up to 1 year of age per 1000 live births per year L
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d. Fetal and neonatal deaths per 1000 live births per year YFT L YFT L L
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The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension
Y F T REF: p. 13 | Box
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1.6 OBJ: 9 YF TL TOP: The Present-Child Care Y F T L L
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women YFT L YFT L L
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b. The traditional family unit L
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c. Separation of labor rooms from delivery rooms YFT L YFT L L
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d. A quality family experience for each patient
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Current maternity practice focuses on a high-quality family experience for all L
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families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
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TOP: The Present-Maternity Care KEY: Nursing Process Step:
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N/A MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Children‘s Bureau?
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a. Lillian Wald L
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b. Florence Nightingale L
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c. Florence Kelly L
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d. Clara Barton L
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Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
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DIF: Cognitive Level: Knowledge REF: p. 4
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2 TOP:
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Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Children‘s Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists. YFT L YFT L YFT L L
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b. The Child Abuse and Prevention Act was passed. L
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c. Hot lunch programs were established in many schools. YFT L YFT L YFT L L
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d. Children‘s asylums were founded. L
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School hot lunch programs were developed as a result of research by the Children‘s
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Bureau on the effects of economic depression on children.
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8. What government program was implemented to increase the educational
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exposure of preschool children?
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a. WIC
b. Title XIX of Medicaid L
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c. The Children‘s Charter L
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d. Head Start YF
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Head Start programs were established to increase educational exposure of preschool
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children.
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process
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Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and
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Development
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9. What guidelines define multidisciplinary patient care in terms of expected
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outcome and timeframe from different areas of care provision?
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a. Clinical pathways L
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d. Nursing care plan L
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Clinical pathways, also known as critical pathways or care maps, are collaborative L
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guidelines that define patient care across disciplines. Expected progress within a
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specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: p. 13
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TOP: Health Care Delivery Systems KEY: Nursing Process
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Step: N/A MSC: NCLEX: Safe, Effective Care Environment:
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Coordinated Care
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her mother, and collected admission data. What is the next step the student will
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take to develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. L
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b. Choose specific nursing interventions for the child. YFT L L
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c. Determine appropriate nursing diagnoses. YL
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d. State nursing actions related to the child‘s medical diagnosis. L
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The nurse uses assessment data to select appropriate nursing diagnoses.
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Outcomes and interventions are then developed to address the relevant
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nursing diagnoses.
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TOP: Nursing Process KEY: Nursing Process Step:
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Nursing Diagnosis MSC: NCLEX: Safe, Effective Care Environment:
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Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the
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definition of the LVN/LPN scope of practice. What resource can the nurse suggest
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to the student?
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a. American Nurses Association L
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